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HomeMy WebLinkAbout0014912-Building (bthroom remodel) n CITY OF OSHKOSH N°_ 14912 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �Z FLOOD PLAIN`—��'-'� HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ' �I fC..t.S K�`SK� �L PLAN NO. OWNER v���� �RAfJ � F_'�l�/ S'T�z (hJ DESIGNER USE/NATURE OF WORK �!J�- �- '�'� ��- �����Z'� � ��/ G S�RF' z � (,sa u "7<•12��,M ��C.2S�E%�I �,e.�vM BUILDING CONl'RACTOR �'—�'W���� / ,� / � Size��O�`� Sq. Ft. # Rooms # Stories Height Foundation Class of Const��� Occupancy Permit �� u �— HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR '� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��'�'�2—'� —BT WH —Disp WSoft —CBasin Lav —Sh —DW —DF —San. Sewer ' —WC —FDr —SP Ur —Storm Sewer Sink —LTub —Eject —SS —Water Other FEES: Valuati n � Permit Fee Paid $ /� � Park Dedication $ , � ISSUED BY Date � �4 ���5 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR � � AGENT/OWNER DATE ADDRESS I�� � 1V ���SK� ��.7 � 7 l �� TELEPHONE# �